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Care Management Nurse Jobs (NOW HIRING)

WellSpan Health

Care Management Nurse

Ephrata, PA · On-site

Utilization management, care management, or clinical nursing specialty. Preferred * Previous experience in care management, discharge planning, previous nursing experience in ED, critical care ...

Good Samaritan

Care Management Nurse

Vincennes, IN · On-site

... members of the care team, such as social workers, nursing, physical therapists, dietitians or others as needed, in order to develop a comprehensive case management plan for each patient.

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WellSpan Health

Care Management Nurse

Ephrata, PA · On-site

Utilization management, care management, or clinical nursing specialty. Preferred * Previous experience in care management, discharge planning, previous nursing experience in ED, critical care ...

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How much do care management nurse jobs pay per hour?

As of Aug 23, 2026, the average hourly pay for care management nurse in the United States is $44.35, according to ZipRecruiter salary data. Most workers in this role earn between $35.58 and $50.96 per hour, depending on experience, location, and employer.

What is a care management nurse?

Care Management Nurses are registered nurses who coordinate and manage patient care, especially for individuals with chronic illnesses or complex health needs. They work with patients, families, and healthcare providers to develop care plans, monitor progress, and ensure that treatment goals are met. By acting as advocates and educators, Care Management Nurses help improve patient outcomes, reduce hospital readmissions, and optimize the use of healthcare resources. Their role often involves assessing needs, coordinating services, and facilitating communication among all parties involved in a patient's care.

How does a care management nurse typically collaborate with other healthcare professionals to coordinate patient care?

Care Management Nurses work closely with physicians, social workers, pharmacists, and other allied health professionals to develop and implement comprehensive care plans for patients. They act as a central point of contact, facilitating communication between different members of the healthcare team to ensure that patient needs are met efficiently and effectively. Regular interdisciplinary meetings, case conferences, and ongoing updates are common, allowing the Care Management Nurse to advocate for the patient and address any barriers to care. This collaborative approach helps improve patient outcomes and supports a smooth transition across different levels of care.

What are the key skills and qualifications needed to thrive as a care management nurse, and why are they important?

To thrive as a Care Management Nurse, you need a solid nursing background with active RN licensure and expertise in care coordination, patient assessment, and discharge planning. Familiarity with care management software, electronic health records (EHRs), and case management certifications such as CCM or ACM is typically required. Excellent communication, critical thinking, and problem-solving skills set top performers apart in this role. These competencies are vital for effectively coordinating patient care, optimizing outcomes, and ensuring smooth transitions across healthcare settings.

What is the difference between Care Management Nurse vs Case Manager?

AspectCare Management NurseCase Manager
CredentialsRN license, certifications in case management (e.g., CCM)Varies; often RN, social worker, or licensed counselor with case management certification
Work EnvironmentHospitals, clinics, insurance companies, community healthHospitals, insurance companies, social service agencies
Industry UsageHealthcare, insurance, community healthHealthcare, social services, insurance

Care Management Nurses and Case Managers both coordinate patient care, often requiring similar certifications. Care Management Nurses typically have an RN license and work closely with medical teams, while Case Managers may have diverse backgrounds like social work or counseling. Both roles aim to improve patient outcomes but may differ in scope and work settings.

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Care Management Nurse jobs near you
Infographic showing various Care Management Nurse job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 84% Full Time, 13% Part Time, and 2% Contract. Highlights an 84% Physical, 3% Hybrid, and 13% Remote job distribution, with an average salary of $92,257 per year, or $44.4 per hour.

Care Management Nurse

WellSpan Health

Ephrata, PA • On-site

Other

Medical, Retirement, PTO

Posted 15 days ago

WellSpan Health rating

7.6

Company rating: 7.6 out of 10

Based on 304 frontline employees who took The Breakroom Quiz

190th of 893 rated healthcare providers

Job description


8:30am to 9:00pm
Shifts primarily covering the Emergency Departments but also flexing to in house units based upon department needs
Weekend and holiday rotations required
Previous experience in care management, discharge planning, previous nursing experience in ED, critical care, trauma, step down units, medical, surgical, geriatrics are all strongly preferred
General Summary
Performs a variety of duties and applies utilization and care management techniques to determine the most efficient use of resources to support the provision of appropriate, cost effective and quality health care. Works in a team type assignment or Care Coordination Team (CCT) Model (Care Manager and Social Worker teams are assigned to patients by physician practice) to address patient care transition needs. Provides leadership in the integration of utilization and care management principles throughout the hospital.
Responsibilities
Duties and Responsibilities
  • Performs initial reviews for medical necessity and appropriateness of setting for the assigned case load.
  • Conducts concurrent reviews to ensure medical necessity for continued hospitalization and initiates problem-solving techniques as needed to prevent over and/or under utilization.
  • Liaisons between third party payers and the treatment team regarding the identified treatment plan in accordance with contractual guidelines or System policy.
  • Assists the patient care team with the identification and coordination of alternative treatment settings which will provide appropriate care, maintain quality of care and reduce cost.
  • Identifies conditions which require care management across the continuum. Collaborates with the members of the patient care team to identify interdisciplinary needs.
  • Makes arrangements for discharge needs (DME, Home Health, IV antibiotics, etc.) in collaboration with patients, families and care team as needed.
  • Assists with the collection and analysis of utilization patterns and denied cases.
  • Brings known or suspected problems of under-, over-, or inappropriate utilization of resources to the attention of the appropriate manager(s).
Common Expectations:
  • Prepares and maintains appropriate documentation as required.
  • Maintains established policies and procedures, objectives, quality assessment and safety standards.
  • Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation.
Qualifications
Qualifications
Minimum Education:
  • Associates Degree Required
Work Experience:
  • 2 years Recent acute care experience. Required
  • Utilization management, care management, or clinical nursing specialty. Preferred
  • Previous experience in care management, discharge planning, previous nursing experience in ED, critical care, trauma, step down units, medical, surgical, geriatrics are all strongly preferred
Licenses:
  • Licensed Registered Nurse Upon Hire Required or
  • Registered Nurse Multi State License Upon Hire Required and
  • Basic Life Support Upon Hire Required
Knowledge, Skills, and Abilities:
  • Excellent interpersonal/communication skills.
Benefits Offered:
  • Comprehensive health benefits
  • Retirement savings plan
  • Paid time off (PTO)
  • Education assistance
  • Financial education and support, including DailyPay
  • Expanded Paid Parental Leave

For additional details: Benefits & Incentives | WellSpan Careers (joinwellspan.org)
About Us
WellSpan Health's vision is to reimagine healthcare through the delivery of comprehensive, equitable health and wellness solutions throughout our continuum of care. As an integrated delivery system focused on leading in value-based care, we encompass more than 2,300 employed providers, 250 locations, nine award-winning hospitals, home care and a behavioral health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region's largest and one of the best in the nation. With a team 23,000 strong, WellSpan experts provide a range of services, from wellness and employer services solutions to advanced care for complex medical and behavioral conditions. Our clinically integrated network of 3,000 aligned physicians and advanced practice providers is dedicated to providing the highest quality and safety, inspiring our patients and communities to be their healthiest.
About the Team
WellSpan Ephrata Community Hospital
One of eight premier hospitals in the WellSpan system, WellSpan Ephrata Community Hospital offers a full range of leading-edge inpatient, outpatient and emergent care services. The hospital is noted for its distinct ability to combine state-of-the-art medical technology with quality, compassionate care to meet the needs of the more than 550,000 residents of northern Lancaster County and the surrounding area. As a full-service, non-profit acute-care hospital, with a 141 licensed bed capacity, WellSpan Ephrata Community Hospital admits approximately 5,500 patients annually. Nearby WellSpan Ephrata Cancer Center supports the hospital as part of WellSpan's regional network of five cancer centers. WellSpan Ephrata Community Hospital was one of several WellSpan Health hospitals honored by U.S. News & World Report with the High Performing recognition for 2022-23.

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